I have work experience as a Customer Service Representative in a US healthcare insurance company, where I assisted members with inquiries regarding their insurance coverage, benefits, and claims. I also handled provider interactions, including verifying patients’ eligibility and benefits, processing prior authorizations and referrals, and managing claims-related concerns.
-> Transitioned fro-----------mber Services to Provider Services within the same healthcare insurance company.
-> Assisted providers in verifying members’ eligibility and benefits.
->Handled claim inquiries, processed referrals, and created prior authorizations.